Journal article
Immunologic perspective on the denuded stromal “gutter” after Descemet membrane endothelial keratoplasty
JCRS online case reports, Vol.3(4), pp.75-77
10/2015
DOI: 10.1016/j.jcro.2015.08.001
Abstract
We present the case of an 87-year-old woman with Fuchs endothelial dystrophy who had successful Descemet membrane endothelial keratoplasty (DMEK) surgery with a standardized DMEK technique, including overstripping of the recipient descemetorhexis by 0.5 mm. Twenty-one months after surgery, the patient presented with mildly progressive vision loss and scant keratic precipitates. A few endothelial deposits were on the previously denuded gutter, which was now covered with endothelial ingrowth, but no deposits were present on the peripheral recipient Descemet membrane. Treatment with topical corticosteroids resulted in a rapid and full resolution of the keratic precipitates. Visual acuity and central corneal thickness were not significantly affected, but endothelial cell counts showed a modest decline of 19% 2 years after surgery (5 months after the rejection episode) compared with the 1-year measurements. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.
Details
- Title: Subtitle
- Immunologic perspective on the denuded stromal “gutter” after Descemet membrane endothelial keratoplasty
- Creators
- Ebru CömertChristopher S SálesZachary M MaykoMark A TerryMichael D Straiko
- Resource Type
- Journal article
- Publication Details
- JCRS online case reports, Vol.3(4), pp.75-77
- DOI
- 10.1016/j.jcro.2015.08.001
- ISSN
- 2214-1677
- eISSN
- 2214-1677
- Language
- English
- Date published
- 10/2015
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984111206602771
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